Eric Ray Castillo in Ardmore - Dentist

Eric Ray Castillo - NPI 1649356569

Eric Ray Castillo is a Dentist in Ardmore, Oklahoma. Eric Ray Castillo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Ray Castillo is 1649356569. The last update date is 2022-05-14.

Eric Ray Castillo's current location address is 1110 Walnut Dr, Ardmore, Oklahoma. You can contact this provider via phone number 5802237779 and fax number 5802237789. The mailing address for Eric Ray Castillo is 1110 Walnut Dr, Ardmore, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Ray Castillo
Address 1110 Walnut Dr, Ardmore, Oklahoma
Phone Number 5802237779
Fax Number 5802237789
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1649356569
Provider Enumeration Date 2006-10-31
Last Updated Date 2022-05-14

Provider Mailing Address Detail

Address 1110 Walnut Dr
City Ardmore
State Oklahoma (OK)
Post Code 734012353
Phone Number 5802237779
Fax Number 5802237789

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5652
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200021060A OK --

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FAQs about Eric Ray Castillo

What is the unique 10-digit identifier code assigned to Eric Ray Castillo by the Centers for Medicare & Medicaid Services?

The Eric Ray Castillo has been issued the NPI (National Provider Identifier) 1649356569 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Eric Ray Castillo is located?

The Eric Ray Castillo is situated at the following address: 1110 Walnut Dr, Ardmore, OK, 734012353.

What is Eric Ray Castillo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Eric Ray Castillo is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Eric Ray Castillo receive its 1649356569 assignment from the Centers for Medicare & Medicaid Services?

The Eric Ray Castillo was assigned its 1649356569 by the Centers for Medicare & Medicaid Services on 2006-10-31.

When was the information related to Eric Ray Castillo most recently updated or refreshed?

The details pertaining to the Eric Ray Castillo, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-14.

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